Kisunla (donanemab)
Patient Assistance Program Guide — Lilly Cares Foundation
Do You Qualify?
Income
Up to $60,240 for a single person
Insurance
Available to uninsured patients or those with Medicare Part D who meet specific out-of-pocket spending requirements; generally not for commercial insurance (use savings card) or Medicaid.
Residency
U.S. resident, Puerto Rico, or U.S. Virgin Islands
Income Limits (400% FPL)
Calculated based on 400% of 2025 FPL. Some exceptions for high out-of-pocket medical expenses may apply.
Based on 2025 HHS Federal Poverty Level guidelines.
# Getting Kisunla (Donanemab) Through the Lilly Cares Foundation: A Complete Patient Guide
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Who Qualifies for the Lilly Cares Foundation?
If you have been prescribed Kisunla (donanemab) but cannot afford it, the Lilly Cares Foundation may be able to provide it at no cost. This is Eli Lilly's official patient assistance program for people who meet income and insurance requirements. For a single-person household, your annual income must be at or below $60,240 to be considered eligible. In terms of insurance, this program is designed primarily for people who are uninsured or have Medicare Part D and meet specific out-of-pocket spending thresholds — it is generally not available to people with commercial insurance or Medicaid coverage. If you think you may qualify, this guide walks you through every step.
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About Kisunla (Donanemab)
Kisunla (donanemab) is a prescription medication manufactured by Eli Lilly. It is used to treat early symptomatic Alzheimer's disease, including mild cognitive impairment (MCI) due to Alzheimer's and mild Alzheimer's dementia. Kisunla belongs to a class of drugs called amyloid beta-directed antibodies, meaning it targets amyloid plaques in the brain associated with Alzheimer's disease. The FDA approved Kisunla in 2024. As a specialized biologic infusion therapy, Kisunla carries a very high list price — often tens of thousands of dollars per year — making out-of-pocket costs unmanageable for many patients without assistance. The Lilly Cares Foundation exists to help bridge that gap.
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Income Eligibility: Full Breakdown
The Lilly Cares Foundation uses income limits based on 400% of the 2025 Federal Poverty Level (FPL). Your household size determines the maximum income allowed:
| Household Size | Maximum Annual Income |
|---|---|
| 1 person | $60,240 |
| 2 persons | $81,760 |
| 3 persons | $103,280 |
| 4 persons | $124,800 |
Income is typically verified using your most recent federal tax return, W-2 forms, or three months of recent pay stubs. Lilly generally looks at prior-year reported income, though current pay stubs may be accepted if your income has changed significantly.
If your income is above these limits, you may not qualify for the free medication program — but you are not without options. Lilly may make exceptions in cases where patients have unusually high out-of-pocket medical expenses that substantially reduce their available income. It is worth applying or calling (800) 545-6962 to discuss your specific situation. Even if you do not qualify today, your circumstances may change, and reapplying in the future is always an option.
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Insurance Requirements Explained
Your insurance status plays a major role in whether you qualify for this program. Here is a simple breakdown:
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Step-by-Step: How to Apply
Follow these steps to apply for Kisunla through the Lilly Cares Foundation:
1. Confirm your eligibility. Review the income table and insurance requirements above. If you are unsure, call (800) 545-6962 to speak with a program representative before gathering documents.
2. Gather your required documents. You will need:
- A completed Lilly Cares application form (available online or by phone)
- Proof of income: your most recent federal tax return, W-2, or three months of recent pay stubs
- A valid prescription for Kisunla from your doctor
- Insurance cards, if you have any current coverage
3. Choose your application method. You can apply in one of three ways:
- Online: Visit https://www.lillycares.com to complete and submit your application electronically
- By phone: Call (800) 545-6962 to apply with a representative or request a paper application
- By fax: Submit a completed paper application and supporting documents to (844) 431-6650
4. Have your prescriber involved. Your doctor's office will need to sign portions of the application and confirm your diagnosis and prescription. Coordinate with their office early to avoid delays.
5. Submit and confirm receipt. After submitting, follow up by phone if you do not receive a confirmation within a few business days.
6. Additional program information is available at https://www.kisunla.com/financial-support.
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What to Expect: Timeline and Delivery
Once your application is submitted with all required documents, processing typically takes 7 to 10 business days. You or your prescriber's office will be notified of the approval decision. If approved, Kisunla will be shipped directly to your prescriber's office — not to your home. Your doctor's office will coordinate with you to schedule your infusion appointments once the medication arrives. You do not need to pick up or handle the medication yourself. Because Kisunla is an ongoing infusion therapy, your enrollment in the program must be renewed annually. Your prescriber's office or the Lilly Cares team will typically remind you when reauthorization is due.
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Alternatives If You Don't Qualify
If you do not meet the Lilly Cares Foundation requirements, there are still paths worth exploring:
1. Biosimilars: There are currently no FDA-approved biosimilar versions of Kisunla (donanemab) available. This option is not yet applicable, but may become relevant in the future.
2. Manufacturer savings card: If you have commercial insurance, Lilly offers a savings card that can lower your out-of-pocket costs significantly. Apply at https://www.kisunla.lilly.com/savings-support.
3. State Pharmaceutical Assistance Programs (SPAPs): Many states offer programs that help seniors and low-income residents pay for prescription drugs. Eligibility and benefits vary by state. Contact your State Health Insurance Assistance Program (SHIP) or your state's department of aging for details.
4. NeedyMeds.org: This free, independent database at https://www.needymeds.org lists hundreds of assistance programs by drug name or diagnosis. It is a useful starting point for finding additional resources you may not be aware of.
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*This guide is for informational purposes only and does not constitute medical or legal advice. Eligibility determinations are made solely by Eli Lilly. Program terms may change — verify current requirements at [https://www.kisunla.com/financial-support](https://www.kisunla.com/financial-support) before applying.*
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Documents You'll Need
If You Don't Qualify for the Assistance Program
Manufacturer Savings Card (for insured patients)
Eli Lilly offers a savings card that may reduce your out-of-pocket cost if you have commercial insurance. Ask your prescriber or pharmacist for current savings card details.
Common Questions
Yes. A caregiver, family member, or legal representative can complete the application on behalf of the patient. You will still need to provide the patient's prescription, income documentation, and insurance information. The prescribing doctor's office must also participate in the application process.
You may still be worth applying. The Lilly Cares Foundation may make exceptions for patients with high out-of-pocket medical expenses that reduce their effective available income. Call (800) 545-6962 to discuss your situation before assuming you are ineligible.
Enrollment must be renewed once per year. The Lilly Cares team or your prescriber's office will typically notify you when your reauthorization period is approaching. You will need to submit updated income documentation and a current prescription at that time.
Kisunla is shipped directly to your prescriber's office, not to your home. This is because it is administered as an intravenous infusion in a clinical setting. Your doctor's office will contact you to schedule your infusion once the medication has been received.
Possibly. Medicare Part D patients may qualify for the Lilly Cares Foundation depending on their out-of-pocket costs. You should also check whether your state has a State Pharmaceutical Assistance Program (SPAP) that supplements Medicare coverage. Call (800) 545-6962 or visit NeedyMeds.org for additional guidance.
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